NPI | 1003464777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT141252) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114294) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2023-09-14 |